2020 Week 15 Bills Injury Review- Broncos

How serious is Diggs’ foot injury? What is the latest on Williams, White, and Roberts?

The Buffalo Bills are the 2020 AFC East Champions! That is incredibly satisfying to type, say/hear, read. I’d imagine that tasting a cold Labatt Blue at a tailgate bonfire would give you the final senses of enjoying what this means. It’s been a long 25 years and is another step towards the ultimate goals of a Super Bowl championship for the franchise. Division titles may not be that important to other franchises, but the Bills are not like other franchises. They are the Buffalo Bills, a team with a goal, and division titles with home playoff games are the building blocks.

While the Bills took care of business 48-19 over the Denver Broncos, there were numerous injuries that certainly had the fan base worried on Twitter. Not all the injury news is bad, but there are quite a few heading into Monday night against the New England Patriots. Below are all the publicly known injuries from Saturday.

TE Reggie Gilliam (knee)

Gilliam suffered a knee injury sometime in the 2nd or 3rd quarter and was initially ruled probable to return. It’s not clear when he suffered the knee injury or what he exactly did. My suspicion is that he injured it on a special teams play and was tended to by trainers on the sidelines. The camera angles were awful on special teams Sunday which made finding this injury very difficult. 

He ultimately returned to the game and this doesn’t appear to be a significant issue moving forward. 

TE Dawson Knox (stinger)

Knox left the game briefly for the second time in two weeks with a stinger but was able to return. I had said last week that there was a slight concern that if this occurs again, this could pose a problem or signify that something more is going on, however, there is not any definitive facts to support this at the time. 

It’s not clear when he suffered the stinger, my guess is when caught a long pass with 3:08 left in the 2nd quarter. He was out there until the 2-minute warning but there isn’t a definitive time when he suffered the injury. 

Like last week, I am not certain that he will show up on the injury report with this. Stingers are typically transient and the fact that Knox ended up returning support that this isn’t serious. He does have extra time to rest as the Bills don’t play until Monday night.

OT Daryl Williams (groin)

The injury to Williams may be the most concerning of the bunch due to his position and type of injury. This injury occurred sometime early in the 3rd quarter on the second touchdown run by Josh Allen. It isn’t clear when he suffered the injury, either with 11:32 or 11:05 in the 3rd quarter. The play with 11:32 had Williams lateral stepping and externally rotating his legs which is a classic mechanism to injure the groin in keeping up with his block to keep Josh Allen clean and did not appear labored getting through the next play. The next play was the second Josh Allen rushing touchdown where Williams was in a pile of bodies as Allen snuck in on the right side.

Credit: TeachMeAnatomy.info

Williams did not return and veteran Ty Nsekhe played admirably through the rest of the game in place. I have noted that groin injuries are difficult to determine on film unless it is blatantly obvious.

Credit: WNYUrology

Per the research, Williams could be out anywhere from 8-20 days with the average time off of 14 days and return to play pain free within 3 week. The overall re-injury rate is 8% once returning to play. I don’t see him playing Monday night unless his practice report says otherwise. 

At this point, let him rest and get ready for the playoffs. This also allows Nsekhe to get some needed reps in case injury occurs in the postseason.

WR Andre Roberts (low back)

The versatile return man suffered a low back injury sometime in the 3rd quarter, though it isn’t obvious when he suffered the injury. He was only noted as having a low back injury when the team reported it after Micah Hyde began returning punts in his place. It was initially thought Roberts was benched due to his muffed catch which resulted in a Broncos score, but the injury ended his day.

On his last return before going out, he was tackled by 3 different Broncos players and appeared to take a good shot to the low back. This could be a simple contusion, back spasms, or something else not known without further examination.

He will be one to watch on the injury report whether he practices at all this week. He does have the extra time to rest with the Monday night game but this is going to be a wait and see. 

CB Tre’Davious White (stinger)

The veteran cornerback scared the fan base when he went down briefly following a routine tackle on Tim Patrick in the 4th quarter. 

On review, I had no idea what he had injured because the hit seemed so routine and clean. Looking at where the trainers were looking at and how he hit, it looked to be the right shoulder area where he suffered the stinger. 

He did suffer a stinger on what appeared to be the left side last year in the Steelers game, but last year’s stinger doesn’t appear to have any correlation with this most recent one. White must have hit just right that he sustained the injury but was able to quickly return. He should be fine to play unless he has persisting symptoms for which he would likely end up on the injury report. 

CB Levi Wallace (right ankle)

Wallace is an interesting injury. He suffered an ankle injury shortly after White went down with his stinger. He ran down the field and then came back to try to scoop the ball up off the turf as it was dropped for a possible interception by Taron Johnson. He didn’t appear to roll it or sustain any visible injury. He did take an extra step onto his right leg when trying to reach down for the ball, possibly jamming up his ankle a little bit, but he quickly returned to the game.

For those thinking he re-injured his ankle from the Raiders game, it was his left ankle which ultimately sent him to IR for 3 weeks. This doesn’t appear to be anything long term and the extra time off should do well for Wallace to play Monday. 

DE AJ Epenesa (head)

Epenesa went to the sidelines under protest to get evaluated for a head injury while trying to avoid a late hit with 5:46 left in the 4th quarter. He flipped over Drew Lock and hit with his right shoulder and head on the turf. 

The team did not announce that he was in the concussion protocol during Monday’s press conference. The in game checks are precautionary and part of the concussion protocol, but it does not appear that he has entered it at this point. Wednesday will be telling if he shows up on the report with anything at all. 

DT Vernon Butler (left ankle)

During the same play that Epenesa got injured, Butler had his left ankle rolled up on moments before as the defense attempted to contain Drew Lock. Butler required an assessment by the training staff on the field and missed several plays but was able to return. 

He may have tweaked the ankle, but appeared to avoid serious injury as he played the rest of the game. I question if he even shows up on the injury report. 

WR Stefon Diggs (left foot)

This injury may be the most worrisome injury at least from a social media standpoint from Saturday. Diggs was quietly carted to the locker room with a foot injury late in the 4th quarter. 

He came back out on the cart with his left shoe off and hopping around on the sidelines leading to a lot of speculation as to what happened. Fortunately, I found what he did and when he suffered the injury. 

This occurred with 7:16 left in the 4th when Diggs was engaged with his block on a Zack Moss run to the right. Diggs disengages and while attempting to get out of the way of the play, gets his left foot stepped on. He immediately began to limp around briefly before setting up for the next play. During that play, he took several steps but did not try to be actively engaged in the play possibly due to the pain.

Diggs later left the field and then refined as mentioned earlier. By video, this seems like he got cleated on the outside portion of the foot and he should be fine. The reports coming out after the game were optimistic and Monday’s press conference only reinforced that news. 

Since this is more of a pain issue, I would not be concerned with Diggs being limited or even DNP Wednesday and Thursday. The team has off Friday for Christmas and then practices Saturday. Even if he’s limited every day, I’d still expect him to play Monday.

Overall, the Bills are in decent shape despite all the injuries from this game. The only ones I want to watch closely are Williams, Roberts, and to a lesser extent Epenesa. It would not alarm me if there were a few extra names on the injury report in addition to what’s in the article today. 

The Bills have the division locked up but can still fight to maintain the 2nd seed which will guarantee them 2 home playoff games and even 3 if the Chiefs get knocked off. They currently have the tiebreaker over the Pittsburgh Steelers who lost unexpectedly to the Cincinnati Bengals Monday night. 

I would hope the Bills can begin to rest some starters but I don’t expect everyone to sit right away. This is a Bills team that is smart with their sports medicine and will not jeopardize health to maximize winning. These next few weeks are all about taking care of business and hitting the playoffs hot so Buffalo can get a long awaited deep playoff run. There is still a lot of football to play and it’s great knowing the Bills took care of business. 

Top Photo Credit: DraftKings Nation

Author: Dr. Trimble

My name is Dr. Kyle Trimble and I am, first and foremost, a Buffalo Bills fan!! When I am not cheering on the Buffalo Bills, I am a Physical Therapist. To give a background on myself; I was born and raised in Erie, PA, moved to Buffalo in 2006 to begin my studies at D'Youville College towards becoming a Physical Therapist at which time I became a devoted Buffalo Bills fan.  I graduated in 2013 with my Doctorate in Physical Therapy and moved home for several years. Moving back to the Buffalo area in 2016, I have gained extensive experience in outpatient orthopedics, skilled nursing, acute care hospital, and home care. Having obtained a significant wealth of knowledge that continues to grow, along with a undying fandom of the Bills, puts me in the unique position to educate my fellow fans about our great team. 
I am currently an injury spotter working with Dr. David Chao, Orthopedic Surgeon @ProFootballDoc based out of San Diego. In this role, I provide real time updates regarding injuries during the game. I hope you enjoy what I publish and I welcome any comments or questions you may have.
Disclaimer: My opinions are my own.  Any thoughts I have on the injuries is based on media reports, my knowledge of the injury, and speculation based on the information currently available.


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